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Passenger Ships, Spaceships or Partnerships, Who is On Board?
October 20, 2015Sandra Waddell RN, BSN
Presenter Information
Sandy Waddell, RN, BSN
Senior Program Manager, NKFM
The presenter has no relevant financial
relationships to disclose
OBJECTIVES
• Why partner together• Discuss different types of partnerships• What is the foundation to create a
partnership together• How do we get the right people on board• Shared purpose, vision and mission• Engagement strategies• The power of partnerships
WHY PARTNER?
We are caught in an inescapable network of mutuality, tied in a
single garment of destiny. Whatever affects one directly,
effects all indirectly.
Martin Luther King, Jr.
TYPES OF PARTNERS
Cruisers / PassengersSpace VoyagersTrue Partners
CRUISE SHIPS
• Cruisers - partners that use the partnership to achieve through others’ work
• Where is the beef?
• Someone else is organizing so I don’t have to
• Passengers - Just along for the ride
Are people just taking up space?
Are they truly engaged?
Do they just like to get out of the office?
Are they ready to take off?
SPACESHIPS
Or Are They Just Full of Hot Air?
AIRSHIPS
Or Are Some Just Full of Hot Air??
TRUE PARTNERSHIPS MATTER
• Based on mutual respect, trust and understanding
• Shared accountability • Shared mission and vision - i.e.
population health• Common strategic plans• Transparency• Joint implementation goals• Collective power
PARTNERSHIPS ENCOURAGE…
• Participation of priority populations/groups• Social innovation and reduce barriers to health• Engagement of the whole community• Do more with less resources • Use long term approaches that extend beyond
a single event or brief campaign• Provide training, motivation, and support• Collaboration between community and
organizations
COLLABORATION
Exchanging information, modifying activities, sharing resources, and enhancing the capacity of another for mutual benefit and to achieve a common purpose by sharing risks, resources, responsibilities, and rewards.
“The collaboration inherent in a partnership is more than a mere exchange – it is the creation of something new, of value, together.”
Kanter, 1994
COLLABORATION MOVES US FROM…
Competition Consensus
Working Alone Including Diverse Sectors
Emphasizing Programs Policies, Systems & Environments
Focusing on Short-term Long-term Results and Outcomes
FOUNDATIONS OF SUCCESSFUL PARTNERSHIPS
Partnership: An organization of
individuals representing diverse organizations,
factions or constituencies working
togetherto achieve a
common goal
Health Disparities
Differences in the incidence, prevalence, mortality, and burden of diseases and other adverse health conditions that exist among specific populations.
UNDERLYING SOCIAL AND HEALTH ISSUES THAT NEED TO BE ADDRESSED
UNDERLYING SOCIAL AND HEALTH ISSUES THAT NEED TO BE ADDRESSED
Social Determinants of Health (SDOH)
Social, economic and environmental conditions that influence people’s health. The root causes of health inequity.
THE COMMUNITY
INKSTER DEMOGRAPHICS
• Inkster Population - 24,786• Increased risk of obesity, diabetes, heart disease, and
CKD • Largely low-income minority population:
• 73% African American• 53.2% (~13,221) women and girls• 49% children living in poverty* • 20% high school drop-out rate*• 38% illiteracy rate*• 25.3% unemployment*
* over twice the state rate Factfinder.census.gov 2013
GOALS FOR COMMUNITY CHANGE
To build a coalition that will reduce health disparities within the target population
• Mobilize a diverse multi-disciplinary partnership to oversee and guide project activities
• Engage in capacity building • Initiate a community dialogue on SDOH• Conduct a community health assessment • Develop a strategic plan to address main
concerns and health disparities in the community
The MAPP Process• Mobilizing for Action through Planning and
Partnerships • NACCHO & CDC
• National Association of County and City Health Officials
• Centers for Disease Control• Strategic approach to health improvements• Improves health & quality• Identifies & utilizes community resources
effectively• Forms successful partnerships for strategic
actions
Organizing
Visioning
Assessments
Strategic Issues
Goal and Strategies
Action
Methodology: MAPP FRAMEWORK
•Source: http://www.naccho.org/topics/infrastructure/MAPP/index.cfm
Mobilizing for Action through Planning & Partnerships
ORGANIZING: IDENTIFY THE KEY COMMUNITY MEMBERS
• People who have a life connection to your cause– i.e. Kidney connection, diabetes, etc.
• Politically active community members– City government, activist, block clubs
• Key decision makers for the community– Key Informants
• Health care professionals• Local health organizations
CoalitionPartnership
Collaborative
CITYCOUNCILMEMBER
YOUTHPROGRAMS
HOSPITALSYSTEMS
HEALTHDEPT
PARKS & RECDIRECTOR
FOUNDATIONEXECUTIVE
CHAMBER OFCOMMERCE
MEMBER
COMMUNITYMEMBER
SCHOOL SYSTEMS
POLICE
FAITHLEADERS
BLOCKCLUBS
KEY COMMUNITY PARTNERS IN INKSTER
1. Western Wayne Family Health Centers 2. Zeta Phi Beta Sorority3. Alpha Kappa Alpha Sorority4. Sisters Who Are Powerful5. YWCA of Western Wayne County6. Gethsemane Missionary Baptist Church7. Josie Odum Morris Literacy Project8. Inkster Public Schools9. Inkster Housing10. Knox Family Restaurant11. Cherry Tree Restaurant12. Mother’s Pantry
13. Hegira14. Public Library16. Inkster Senior Services17. Inkster Parks and Rec18. Inkster Community Oriented Police19. Inkster City Council20. Department of Health and Human Services21. Inkster Youth Coalition22. Wayne Metro Action Agency23. Inkster Task Force24. Starfish Family Services25. Zaman International
BUILDING TRUST
• The single most important key to building a successful partnership
• Takes time and effort• LOTS more time and effort• Humility to listen• Compassion • RESPECT• Trust and credibility may be enhanced
by participating in community activities
If the coordinator is not a member of the community, it is extra important to identify and negotiate with
community gatekeepers to
Build Trust and facilitate “entry” into the community
Inkster Framework
• Organizing– IPHC - Inkster Partnership for a Healthier
Community• Visioning
– I-HEAL• Inkster Healthy Equal And Living
• Mission• To improve and develop safe, healthy,
educated neighborhoods through community action and resources
“A community assessment process is not just a matter of surveying what people need, but it is a community organizing strategy. By rigorously and creatively assessing community needs, the process gives real ‘voice’ to individuals in the community…voices that can significantly influence program design.”
Source: Chang, H. Drawing Strength from Diversity: Effective Services for Children, Youth, and Families. Los Angeles: California Tomorrow; 1994.
HEALTH ASSESSMENT TOOLS
Tools Can be Used to Close Health Gaps and Reduce Disparities
• Change the ways people think about health and safety
• Provide an evidence-based framework for change
• Build community capacity while building on community strengths
• Foster links to decision makers and other resources
A tool to assess community level resilience factors that will improve health outcomes and reduce disparities.
Helps local decision makers close the health gap in communities and take action to remedy the disparities.
THRIVE: Toolkit for Health & Resilience In Vulnerable
Environments
EQUITABLE OPPORTUNITY
THE PLACE
THE PEOPLE
Education
Loca
l Ownersh
ip
Parks/O
pen Spac
eSa
fety
Common GoodJo
bs
Socia
l NW
s/Tru
st
Healthy B
ehavior/A
ttitu
des
Environment
02468
10121416
Total Priority
Total Need
Action Indicated Based on Combined Priority/Need
Threshold for Action
THRIVE Tool Summary of Findings
Social Determinants of Health
Jobs: high unemployment, pathways out of poverty
Education: lack of opportunities for quality education
Safety: violence, neighborhood decay
Information Sharing: availability of information
Feeding Inkster: access & availability of fresh food
IDENTIFYING THE COMMUNITY NEEDS IN INKSTER
ISSUES COALITION ADDRESSED
• Lack of access to/inadequate medical care
• Lack of health education and literacy
• Lack of social support• United States Department of
Agriculture identified Food desert • Disproportionate rates of diabetes
and heart disease
IDENTIFYING THE COMMUNITY STRENGTHS IN INKSTER
• Walkability policies that requires sidewalks and bike lanes to be built for all developments
• Neighborhood crime watches• Policy and environment both strong
for smoke-free indoor public places and no cigarette vending machines
The IPHC’S Big Picture:
• Inclusive and comprehensive• Flexible and responsive• Build a sense of community• Promote ownership of health initiatives• Build and enhance resident engagement in
community life• Provide a vehicle for community empowerment• Allow diversity to be valued as foundation of the
wholeness of the community• Incubators for innovative solutions to community
problems
ENGAGEMENT STRATEGIES
• Attend meetings• Share information• Promote community buy-in• Garner community participation for focus
groups• Support the collaborative process
ENGAGEMENT STRATEGIES
• Provide resources - i.e. referrals, business contacts, meeting space
• Identify and expand on existing social relationships to increase participation from the community and organizations
• Continually share information to build unity among partners and community members
CHALLENGES ENCOUNTERED
• Community engagement
• Balancing Community needs and the goals of funders
• Prioritization of goals and scope of strategic action plan
• Perseverance in the face of adversity
• Get the right people at the table
• Evaluate the baseline• Set goals • Plan for action that addresses
specific needs • Get buy-in• Share successes
PROCESS COUNTS
EXPECTED OUTCOMES
• Increased knowledge/understanding of Social Determinants of Health
• Increased food access through community gardening
• Improved diabetes prevention and control
• Greater access to chronic disease self-management programs
ACTUAL OUTCOMES
• Increased knowledge/awareness of SDOH• Block club coalitions developed• Block club community newspaper/website
– INK link• Data sharing• Collaborative grant opportunities• Skill building- program leaders• Empowerment• Policy Change• The power of influencing change
FIVE YEARS OF PARTNERING AND PROGRAMMING
Classes and Workshops – 1229 Classes and 4107 Participants
• Diabetes PATH and Chronic Disease PATH• Enhance Fitness• Diabetes Prevention Program• BodyWorks• Healthy Hair Starts with a Healthy Body™ • Health/Internet Literacy• Affordable Care Act Presentations
Community Gardens - 30,000 lbs of foodIPHC Coalition Meetings –
• 42 Meetings to date and 1338 attendees
“Coming together is the beginning. Keeping together is progress. Working together is success .”
- Henry Ford
INKSTER HEALTHY, EQUAL & LIVING
THANK YOU FOR ALLOWING ME TO PARTNER WITH THE SOCIETY OF PUBLIC HEALTH EDUCATORS!
Sandy Waddell RN